Individual
ENEIDA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 TREE BLVD, STE 5, ST AUGUSTINE, FL 32084-5715
(904) 342-0672
(904) 342-0673
Mailing address
PO BOX 3123, SAINT AUGUSTINE, FL 32085-3123
(904) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME83444
FL
Other
Enumeration date
10/18/2005
Last updated
08/05/2020
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